178749 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 174625 Page 1 of 1
ONE CIVIC SQUARE KIRBY RISK SUPPLY CO CHECK AMOUNT: $1,226.36
pa CARMEL, INDIANA 46032 PO BOX 664117
INDIANAPOLIS IN 46266 -4117 CHECK NUMBER: 178749
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT D
651 5023990 5104444259 369.76 OTHER EXPENSES
651 5023990 S104643795 30.88 OTHER EXPENSES
651 5023990 S104712267 466.45 OTHER EXPENSES
651 5023990 5104718388 164.52 OTHER EXPENSES
651 5023990 S104722064 194.75 OTHER EXPENSES
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
to I J, 14 RELEASE NUMBE
i.
74918 70 WATT HIPS LAMPS
MARK S BAYS PK PICK -UP JEFF COOPER FISHERS 317 598 -6170 10/14/09
i
12ea 12ea PHIL C70S621M PH 12PK 13.71 lea 164.52 3.29
331926 C70S62 /M PH 12PK
331926
Billing Questions: Billing (765) 446 -3054 10114120093:19:54PM S104710;38 Invoice Number S104718388.001
Subtotal 164.52
If paid by 11/10/09 you may deduct $3.29 S &H Charges 0.00
Invoice is due by 11/30/09 net of any cash discount. Y Sales Tax 0.00
JEFF COOPER -EPIC P.OEIINSON za g 164.52
0001:0001 K irby Risk Page 1 of 1
Tl,',R,',NISAND CONDMONS MAXLE
ACCTPFANCI, OFFHE GOODS INAOICE(IONSTi I IJ I AN D
ACCEPTANCE OF THETFRAIS AND CIADITIONS OFSALF, WN1,01 1
ji)
a o
nd.
f
Nvij-Stoclt �Mlvrehanchse is is_ t ivnnTable Moss we am s"ure a Rcuti.ncd
the vendor,
(3) The Cumover acknoWedges and agNes tha in W punhascs u&,400ds <ind scrvi,
�ives no expre, "vnir.'aillies o! t=i' plizd \�rarralllics and lltne 1"or",11v
(4) MY usmiargute, that Seler 101 not In Hable or any nod
:)Inl;Ok ix,:::d ,Viv il 614" itOO(k po
10 es IO W A= n do S v 1 nc I ude ;ales o v ot he v taxi i n qnunxl on Ow YAW Wh As Tucu �w v
bc) %k i I )o� upoTl ol sh i E) nts W H be nAld to the Innnhuse p rNA" Qv, agiv, u)
sel!e. ro -oy such !:,tx ov pl ",viih
DOn Y in EhIvep. Q 1 [Cl i, ilot (0 t)'c unul 16; la S in 11C 1 i o," Casio. lcdl lb ,.i o
u;L- Sclin has in) dir,xi co,M FanorvQtnYKtw&KvwyW saw QC
Pont OWKYACS OWn SUNW& and ;n no can Wit h'. liabic ol
Walver -MR Wilure MAlor to inini tWcui the pedkinnce ofx, oflc onus kv nmdTiva U&S
con ,act or W, Ogw hoomder QMH no be MMS] to he oi',uch
in OW 11 WW" z )I shali it tic &CIlud to he a P. ofal�- teml. ol
talc ,tir this
(N) MadificaHon of Terms and CoudkWas 10 tans and comb Ams who Ann ton awnd hcmht aml
no agmanem of undoomnlay in anyway puporting to nwdlydwse ovn& (a condidom. W! be
hinding oa wrillen COO�,INIL
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
M ERNUMBER CUSTOMER PO NUMBER I RELEASE NUMBER
74918 Kevin Buhman
I SALESPERSON SHIP VIA ORDERED TE
STEVE GADING WC51 WILL -CALL Kevin Buhman FISHERS 317 598 -6170 10/16/09
ORDERQTYj SHIPQTY
1000ft 1000ft WIRE THHN STR -12- BLA -500FT 95.25 1000ft 95.25 1.90
SPOOL
500ft 500ft WIRE THHN STR- 14- GRN -500FT 66.33 1000ft 33.17 0.66
SPOOL
1000ft 1000ft WIRE THHN STR -14- BLA -500FT 66.33 1000ft 66.33 1.33
SPOOL
Billing Questions: Billing_ request @kirbyrisk.com (765) 446 -3054 10116120099:38:43ANI S1047,22064.001 Invoice Number S104722064.001
Subtotal 194.75
If paid by 11/10/09 you may deduct $3.90 S &H Charges 0.00
Invoice is due by 11/30/09 net of any cash discount. f\ Sales Tax 0.00
Kzvin Bwhman
e 194.75
0001:0001 Kirby Risk Page 1 of 1
T1,,RMS AP CONDITIONS OFSAIJ`
ACCEPIANCEM HIF GOODS PUR('11;VSE'DON 1 WS: NVO IC i
WCEPTANCEM T tip' rEIINIS,NNDCXSFWII()NS(MiliA I W Mi 101 l"01A.MV:
(11 Wel; Alerchancilse 11,.. fdUni Cha."o"C' he vv. 6)ok,r f.; S.1 i pl', i
oice Inilmiher an m
O nno "o! 1'.Cioii,
NoMock Merchandise ts not renounhK Wes SC.;!,ffe fronn
we N W& r.
(3) i 1 (.'v tolner and ap,.rms chn in W puNhaves ofgomls and se. ices Om Selko SelY
jn paawt!1al
no oi inyih��d of and Etn-,S�s f'or
(4) 11w C usmaer a;qves thai g'W not b fiable ary incid""'niil dalra,
15) 1 OICS prWas WWWn do Mv KIM Sao: S 01 calm tavus inpuni; o�i th�, �J,� of i
"O'c,l innposcd W! he Nk!"I to pi iC fIgrxs
s n io) n"i'sl,;'ch iaN oi providw, St. 1. r xi'01
,0) D-,A 4v in DcfiS ell sclor is ncM to be ac"mmMu 16Y ;Qlays in Wvul ocaNkowd by ans of 6od or
alacy r:wumAanccs onr Qidi SO& has is dircm cown?
W1 005MICh of iny supphcr& ami ia no can shy! Qii,.-1 -,c. '\pcci:d
on) eiry in dc�ivul
(7) NVOer flu Mum M Wer to KAW ipm Ow paknnamx 4any of Ow ivn x cotifWv WN:�
��onLmCt to �:,�Icmsc an j Aghi Wroundu W not bc Wand to ho i wahvr ofmwh lam
co... itions in OW sawn ma ?riiall _z ,�e 'Lcnwd to be a "ohir (d'any
tmd��t th is col a1- t,
cS) cf Terms and Undibus its cams and cNmWjonb o0wr Ann O nowd ON, and
no aganues Of K "my pumoi .'c lrodl F�, ix",
on fi01110U!
UC I ALM UrrCK h'UK I IUIV AIVU MCI UKIV VVI I M TUUK rAT MCIV I
C I USTOMER NUMBER CUSTOMER PO NUMBER RELEASE NUMBER
74918 JEFF COOPER
SALESPERSON SHIP VIA ORDERED Y SALES OFFICE PHONE NUMBER SHIP DATE
MARK S BAYS PK PICK -UP JEFF COOPER FISHERS 317 598 -6170 09/03/09
ORDERCITY1 SHIPOTY I DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH DISC
-lea -lea PHIL MH1000 /U 6PK 30.88 lea -30.88 -0.62
298265 MH1000 /U 6PK
298265
Original Sale S104643795.001
OTHER 61.76
Billing Questions: Billing_request @kirbyrisk.com (765) 446 -3054 9131200910:39:44 AM S104643795.002 Invoice Number S104643795.002
Subtotal 30.88
S&H Charges 0.00
Invoice is due by 10131/09. Sales Tax 0.00
JEFF OO IOE 30
0001:0001 Kirby Risk Page 1 of 1
TF.AMS AND CMMITIONS OFSALF�
ACCEPTANCE OF THE COODS PURCILNSE'D ON1.1.11S INVOK, 'E' C�ONSTI 'll 1 U IN S A N 1)
ACCTPTANCE ()F'THE CIONDMONS OF SALE WFUCII POIAM0.
Stock Merchandise is Atect to a viurn cha< ge, NO PuOds it tx, I. sn i ticit"e"
ai'd.,"or in inimber and, priu! a',Ittlo izmion.
(,2) Non-StficklMerchanthse is imt,sunTable Mass we ru smure a "Roumed (Anxis Ma 1:.: hom,
we V.&r.
(1) 10 Cntomv acknoviedgeN whi agrees ths in W puNhans of', and Cro;
gWes no oNpan wwrameq to inphed warrawks and fitness tlor a.n pa&�'Lflal
pmPose,
(4) TA Astomer apteg that Seder W no be libl" for any onseq',ieomA ank"I incidental at
c "y cnti "vit"n tl?c goods ptir"hasi"d firon
%5: T.# %£.1 MUS S' Wk n LK n0l i i .C! k1dC 5ai e 1 o 1 le t,t ir; on ow mono p A ti, TWON WA (11'
(61 iny stich ta" or 11rcovide n"X coviitici,Ie.
(6) thlay in DeWtv, Sclicr is noi it', b,' dcla','N in a-tv, ofGrid or
owr Mh SAW h, no dWr corart? Mms Ai wK or Wvny Aws an W
twit minaw Muir s"phx� vint in in case shall Sellar W; !Able W mo vonwq=WW ov spaIll
Fi!,'!w dcia in dcli"cl
(7) Avaiver-A• C Man MeWrtu lashl qVni the perkrtnNrice
""Ncl,.We mV 6gh hantnifer sloll no be WiN W be v wiv, ormch tvn,
in It flaw mi smd A he Wnyd w be a waiver of any o!fier term. oi
M ldodiHcadimi� of Tenns and Condhions No Mrs and cond dims M hu dun too stated bra, mW
undem,401 in any "sypwpMing to modify fl be
oil tltev vJthoo Sel r' rdierj tonsenl
.CUSTOMER NUMBER CUSTOMER PO NUMBER RELEASE NUMBER
74918 s11859
ORDERED I SALESPERSON SHIP VIA
I
PHO
NDIAN
APOLIS
CHRIS LENTS 23 -2 ROUTE 2 317 687 -0015 10/09/09
DESCRIPTION AMOUNT
2ea 2ea MARA N642 184.88 lea 369.76
56T17V5328
"SUBJECT TO VENDOR RETURN POLICY
t
Billing Questions: Billing request @kirbyrisk.com (765) 446 -3054 Invoice Number 5104444259.001
Subtotal 369.76
S&H Charges 0.00
Invoice Is due by 11130109. Sales Tax 0.00
369.76
0001:0001 Kirby Risk Page 1 of 1
AND CONRF OF SAIA11",
WTFf A NCV (.,iFTH E G001)'S FUR CHAS["' D ON T 11 IS !N"VOICE AND
ACCTPFxNCE OF THE T it KVIS;� NJ) OF -S'A" I -E M R1.E -1.4
(1) WAX Aterchan(Use in ykj"! 10 a amm Amp. NU guys m,'m' h�-- n'J vvO.,I"P'V ;'i
2 .'Qvrehamune is not mhonve Was At "i 6o,""Is
"enox,
1 te a Ed 0 gmas tO in A 1 Pul C Epson 0 f imm: 5ery ej �i on S'�:! ic r
C, o; i.a pdijd Qnmm Inn, to wq Ininka
qu Pow,
(4) TA 00mor vp Von tbal se l 4 V A I nol W Uble Ar nq zms E i"; i pn.'! i tc idei"i .i: wh'
(1) Tom Rk Ww" o do nq hioub sInx mW Laxi; ArTmd on do Wn! DYW T"es m" wr
l ipf.p own or A"rWils 101 bi Wal 10 on Pwdyn Pr Nn Ryur 1VOK I-)
or 1;P013LIf ScAr w4h =WMA W\ m"MPAW russ='
My in DeNvery 504, k ma To ba amyrunpic Q, m dc €y ot oNhwed by um 46A m
ovc. "'%-hicI� Sc i r WN W) OnW7 �Alwm. I'mom 0APIrcm (W ddAny Am arc 10
SCSI anymm W my SUIT5m, ME, A case ASH bk' �4
(71 ATMer 11.E ci*ti° jk:'r U MCI Ipm too b i.3 s m
W "y 6Q hammdo Aw H no ho Jumal bu a x0my of W orv,
amidAhms or Ag& in do Amm NY All A ne Wnwd v) hQ ;tinlvcl i5i"w"y o"11-V
18) AlWhadon of Terms and CandWas W nn us awl comiGnin Civet than 1hum mson imern S".1
no qgmonem oc onjunamAng in sly any pumoo"i:'n �(".nrokj.j'k
DETACH UPPER PORTION AND RETURN WITH YOUR PAYMENT
CUSI NUMBER CUSTOMER NUMBER RELEASE NUMBER
74918 400 watt lamps
SALESPERSON SHIP VIA ORDERED B DA TE
MARK S BAYS WC51 WILL -CALL JOE/LARRY FISHERS 317 598 -6170 10/12/09
ORDER QTY SHIP CITY DESCRIPTION ITEM PRICE UNIT EXT AMOUNT CASH D ISC
l2ea 12ea PHIL MH400 /U /ED28 12PK 22.91 lea 274.92 5.50
278622 MH400 /U /ED28 12PK
278622
lea lea ADVA 71 A6051001 D 63.54 lea 63.54
MH BAL 40OW M59 5 -TAP KIT
100ft 100ft ELEF NM11 41.09 100ft 41.09 0.82
1/2" GRAY LIQUATITE 10OFT CARTON
20ea 20ea CARL LT43D -NEW 229.04 1 00e 45.81 0.92
PVC 1/2" STRAIGHT LIQUIDTIGHT FTG
Ilea Ilea CARL LT20D -NEW 373.57 1 00e 41.09 0.82
PVC 1/2" 90 LIQUIDTIGHT FTG
Billing Questions: Billing (765) 446 3054 10?02009 10:45:27AM s104712267.001 Invoice Number S104712267.001
If paid by 11/10/09 you may deduct $8.06 Subtotal 466.45
7 S &H Charges 0.00
Invoice is due by 11/30/09 net of any cash discount. Sales Tax 0.00
JEFF COOPER 466.45
0001:0001 Kirby Risk Page 1 of 1
TERMS AND CONDUVIONS (31 SAIA
ACCEPTAN(II OF THE GCMDS PURCHASUA,- ON1 H IS INN"*1.')IC'l>(:O�S'1;1".I't..' I'V'-S AND
ACCEPTANCE M THE runis vvw com-A IONS OF SALE WHICH
(1) Sloe!, Merchandise o Atect in a w1uni chwgn No goods nmy he ;euixned wahoul a Apping kkat
imo ce '.nd priol. twtb'o'n.'Itiur
(2) Mn','-,41f ck MerehancUse in in renn Mess we mn
we VC01W,
(3) [he List k.no 4 !i;d u-es and agyree's thatii a!"" putwhaws of pool ivid Services Bom SAW SeNer
i .ivts no e' jess munaf es or inqUied sarrantks of
yHrpose,
The C mmucr ag;iees tlhai Seiicr "vi ;l uco be fo;' not< incidenu <11 ari-sii'g
"AiOl thw fr"'n;
ates Mus Anown do m" includc', �uio, oi wher ijxcy inqx=1 on Ow wk oFghts, Tmu"wviSr
LIJ)On '4-211c !S Ot NO! he Wal to the In"Aust jOco Buyur agursu)
s,._ c? Poi n:"such !kAx or provide scll�'r vvith TUIX' c',nC'M c'."rtifiicatti.
Q May in WWI SO& is mA to 1w aaaRnaviblu Or Ways in ck-livcrf kxxa. coned 11� "cts o.'f'Ciod or
mhur Kwummuncus o"N MA SMY has m) docct anoW Fmim-i sihipiric-it oor c, ui (Ailvs mc UIC
Am eshintacs ofwy stWpUn, Am! W no cow Quil ScHl"I bc l'or or spccial
al l� "Jk.-!'1 ind"liv
(7) XNAver o!'Seflcr ti n A puMmin" oCmq W, mms or mon. or m;
>"jroyjc( vl° to mV AWY hernmW W nx he durnal to be a %Qmy ot' snh
c it it:. S in Aw have, mw W A he dcenwd W be a waver of'2mov oillicr cond lion izC
-gl
i -i E Indcr "his
(S) Nlodifleadon of Arms and (Andhious TO L;rins'ind
C! in way purporling. to!ri®rdi th' Sc t~uvs' of N"'
hindhig on A% Sefl cmuent,
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
174625
KIRBY RISK SUPPLY CO Purchase Order No.
PO BOX 664117 Terms
INDIANAPOLIS, IN 46266 Due Date 10/19/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/19/200! S104712267. $466.45
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5-11-10-1.6
a
Date Officer
VOUCHER 096603 'WARRANT ALLOWED
y r
174625 IN SUM OF
KIRBY RISK SUPPLY CO
PO BOX 664117
INDIANAPOLIS, IN 46266
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
�0
Qo`k'b S104712267.1 01- 7202 -06 $466.45
�S9(�lp�}�1`�c1zgq -onl o!. ?Zd�.Ob 3b9. ?6
s I0 4 6((370.0o�01�j2D1.ob 3p.g8
S I0g7'I'_0b1,00( C)1.�20 06 184,1
5 1o�{11b 38�•o0l C�c. ?Qo2.bb !b`(
l ���•3b
Voucher Total $4 5
Cost distribution ledger classification if
claim paid under vehicle highway fund